| NPI | 1184834277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN W O'SULLIVAN Executive Director 916-315-0468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 310009DN) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |